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​Core System Software for Third Party Administrators

Finally, a TPA solution that works the way you do. Straight out of the cloud, you have a fully functioning and configurable claims administration system, including account management, billing and time tracking, document management, and detailed reporting and analysis.

OneShield Market Solutions’ Third Party Administrator (TPAs) core system is pre-configured for processing of workers’ compensation, general liability, property, commercial automobile and specialty lines. This secure, cloud-hosted and configurable end-to-end claims administration solution supports multiple clients, accounts, and lines of business with automated workflows and rules — designed specifically to meet the unique needs of TPAs.
 
Key Features
From claims intake through to file closure, you can quickly and easily customize workflows, business rules, codes, tables, forms and documents to match your processes. Other feature highlights include:

  • 360-Degree View of Customers, Prospects, Vendors, Brokers and Claimants
  • Integrated Journal Management & Customizable User Dashboard
  •  First Notice of Loss (FNOL)/First Report of Injury (FROI)
  • Custom Claim Adjudication
  • Litigation Management, Medical Case Management and Return to Work Tracking
  • Subrogation/Salvage, Time Tracking & Loss Prevention Modules
  • Financial Summary Screens with dynamic drill-down capability
  • Automated user authority limit validation
  • Secure Web portals for third-parties
  • Automated fraud scores and identification
  • Detailed Reporting and Analytics


  • Medical Case Management

    Track medical events, coordinate services among providers and compare recommended treatment plans with accepted protocols for workers’ compensation, liability or automobile claims involving injuries - reducing medical expenses and returning individuals to work as soon as possible.

  • Claim Admin

    Streamline every stage of the claims lifecycle across all lines of commercial, personal and specialty insurance.

  • Loss Prevention

    Monitor and identify fraud activities by tracking events associated with insureds, locations, prospective clients and third-party customers